WILEY W SOUBA (NPI# 1871559013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871559013 |
| Entity Type | Individual |
| Full Name | WILEY W SOUBA |
| Credential | MD |
| Practice Address |
300 W. 10th Ave Columbus OH 43210 |
| Mailing Address |
700 Ackerman Road Suite 650 Columbus OH 43202 |
| Practice Telephone | 6142922600 |
| Mailing Telephone | 6142611141 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD069525L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017644770002 | 05 |
| Street Address |
300 W. 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846226 | Samantha Elizabeth Knight | Nurse Practitioner | 300 W. 10th Ave, Columbus, OH 43210 | 2011-09-20 |
| 1821264623 | Robert Wesolowski | Internal Medicine | 300 W. 10th Ave, Columbus, OH 43210 | 2008-05-01 |
| 1639111065 | Maryam Beheshti Lustberg | Internal Medicine | 300 W. 10th Ave, Columbus, OH 43210 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1972033413 | Baker Surgical Services | Surgery | 6127 Goodwin Dr, Columbus, GA 31909-4338 | 2017-06-18 |
| 1043691702 | Maegan Kellie Garcia Lazaga | Surgery | 235 W 12th Ave Rm 414, Columbus, OH 43210-1303 | 2015-06-17 |
| 1861819310 | Ryan Albert John Campagna | Surgery | 191 W 8th Ave, Columbus, OH 43201-2311 | 2014-03-22 |
| 1578908901 | Jodi Marie Oostra | Surgery | 500 Thomas Ln Ste 2b, Columbus, OH 43214-1419 | 2013-04-29 |
| 1538416144 | Aliyah Kanji | Surgery | 4830 Kinghtsbridge Boulevard, Suite J, Columbus, OH 43214 | 2012-08-14 |
| 1598029969 | James Bradley Beckham | Surgery | 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 | 2012-06-29 |
| 1043500846 | Kara Keplinger Rossfeld | Surgery | 285 E State St Ste 300, Columbus, OH 43215-4357 | 2011-04-13 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1568793164 | John David Lipson | Surgery | 12945 E 100 N, Columbus, IN 47203-9601 | 2010-01-20 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.